| NPI | 1669411906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 003013) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP20383) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2013-01-07 |